TNA Facial Pain Network

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Classification of Neuropathic Facial Pain

·       Classic Trigeminal Neuralgia, type 1, (TN1): (also known as tic douloureux) facial pain of spontaneous onset with greater than 50% limited to the duration of an episode of pain (temporary pain).  TN is often caused by loss of or damage to the nerve’s protective coating, (myelin). The most widely accepted view is that myelin damage results from irritation of the nerve, usually a blood vessel that causes the nerve to be compressed.

 

·     Trigeminal Neuralgia, Type 2, (TN2): facial pain of spontaneous onset with greater than 50% as a constant pain.

 

·     Secondary Symptomatic Trigeminal Neuralgia (STN): Pain resulting from multiple sclerosis.

 

·     Post- Herpetic Neuralgia (PHN): pain resulting from herpes zoster outbreak (SHINGLES) along the trigeminal nerve.

 

·     Trigeminal Neuropathic Pain (TNP): facial pain resulting from unintentional injury to the trigeminal system from facial trauma, oral surgery, ear, nose and throat (ENT) surgery, root injury from posterior fossa or skull base surgery, stroke, etc. This pain is described as dull, burning, or boring and is usually constant because the injured nerve spontaneously sends impulses to the brain. The injured nerve is also hypersensitive to stimulation, so attacks of sharp pain can also be present. The area which is sensitive to touch and triggers these sharp attacks is the same area where the pain occurs. Numbness and tingling are also signs of a damaged nerve.

 

Trigeminal Deafferentation Pain (TDP): facial pain in a region of trigeminal numbness resulting from intentional injury to the trigeminal system from neurectomy, gangliolsys, rhizotomy, nucleotomy, tractotomy, or other denervating procedures. Despite the loss of sensation, constant pain is felt in the numb area(s), which varies in intensity and can include sensations of burning, crawling, tingling, boring, stinging, and/or unpleasant aching.

 

  

Latest Activity

Mr Bill and NancyE are now friends
1 hour ago
Bushwoman replied to Cindy Ezell TNA Patient Services's discussion Helping Your Relationship Survive Despite Facial Pain
"Every relationship needs rules:  These work for us: Open, honest, caring, clarify, and no…"
1 hour ago
Bushwoman shared TNNME's discussion on Facebook
2 hours ago
Bushwoman shared TNNME's discussion on Facebook
2 hours ago
Bushwoman shared TNNME's discussion on Facebook
2 hours ago
Bushwoman replied to gbellecox's discussion New to TN - Question about Medication
"I think you should always keep the doctor in the loop and follow his advice.  Some meds take…"
2 hours ago
Bushwoman posted a blog post

Wise Woman

"These are the ways of our grandmothers, the ancient ones.  Every pain, every plant, every problem…See More
2 hours ago
Cindy Ezell TNA Patient Services replied to Jean's discussion Awareness Groups
"TNA The Facial Pain Association has programs in place to promote awareness, such as this site.…"
2 hours ago

Forum

Awareness Groups

Started by Jean in Ask a Question about Facial Pain. Last reply by Cindy Ezell TNA Patient Services 2 hours ago. 2 Replies

Blog Posts

Wise Woman

Posted by Bushwoman on September 1, 2014 at 9:36pm 0 Comments

33 months and counting........

Posted by asdfg on August 30, 2014 at 8:47am 0 Comments

Attitude

Posted by Bushwoman on August 29, 2014 at 7:29pm 0 Comments

Be Positive

Posted by Bushwoman on August 28, 2014 at 10:04pm 0 Comments

Myths about Women

Posted by leejcaroll on August 21, 2014 at 6:30pm 2 Comments

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